Organization
EBBE'S PROFESSIONAL COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EUNICE MARIE BUCKNERBOONE LCPC (LICENSED PROFESSIONAL COUNSELOR)
(217) 355-0825
Entity
Organization
Contact information
Practice address
206 N RANDOLPH ST, 405, CHAMPAIGN, IL 61820-3949
(217) 355-1466
Mailing address
206 N RANDOLPH ST, 405, CHAMPAIGN, IL 61820-3949
(217) 355-1466
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180006788
IL
Other
Enumeration date
10/19/2009
Last updated
07/23/2010
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